Provider manuals, policies & guidelines

Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Here, you will find Anthem provider manuals, guidelines for clinical Utilization Management (UM) and medical policies.

Provider manuals and quick reference guides

Anthem provider manuals provide key administrative information, details regarding programs that include the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more.

Provider tools & resources

Interested in becoming a provider in the Anthem network?

We look forward to working with you to provide quality services to our members.